PER CURIAM: In this workers' compensation case, Donna McCall appeals from the order of the Appellate Panel of the South
Carolina Workers' Compensation Commission (Commission) affirming the single
commissioner's finding that her claim for repetitive trauma injury (RTI) to her
bilateral wrists was barred because she had failed to give timely notice
pursuant to section 42-15-20 of the South Carolina Code. We affirm in part,
reverse in part, and remand.

Initially, McCall contends the
Commission erred in admitting into evidence the medical records of Dr. Felipe Amaya,
a neurologist she consulted in 1999. McCall
argues Dr. Amaya, at the time of the
hearing, was "incompetent to testify as to any professional opinions"
because his license to practice medicine had been permanently revoked and he
was no longer licensed to practice in any state. Furthermore, McCall argues Dr.
Amaya's records were inadmissible because section
42-1-172 of the South Carolina Code, which governs compensability of RTI, requires
medical evidence "offered by a licensed and qualified physician."

The Commission used Dr.
Amaya's records for the limited purpose of determining whether McCall's notice
was timely under section 42-15-20. See S.C. Code Ann. § 1-23-330 (2005)
(stating that while the rules of evidence do not apply in contested cases
before the Commission, "[i]rrelevant, immaterial, or unduly repetitious
evidence shall be excluded"). Section 42-1-172 was not invoked because
the Commission did not reach the question of whether McCall's RTI was
compensable. SeeMichau v. Georgetown Cnty., Op. No. 27604 (S.C.
Sup. Ct. refiled February 1, 2012) (Shearouse Adv. Sh. No. 4 at 26). Consequently,
we find no error in the admission of Dr. Amaya's records under the more relaxed
admissibility provisions of section 1-23-330.

As to the timeliness of
McCall's notice, there was no substantial evidence to support the Commission's
finding that McCall "discovered or could have discovered her condition was
compensable as early as 1999, when she was diagnosed with carpal tunnel
syndrome." We disagree with the Commission's finding that Dr. Amaya's
letter of December 10, 1999 was sufficient to establish that McCall was
"diagnosed" with her current condition—or, for that matter, that she
was diagnosed with any condition. The December
10, 1999 letter from Dr. Amaya to McCall's family physician was a general "assessment"
at a time when McCall was seeking treatment for tremors and was not experiencing
symptoms of carpal tunnel syndrome. Dr. Amaya noted the absence of carpal
tunnel syndrome symptoms as follows: "mild right [carpal tunnel syndrome],
now without [symptoms]." Further, Dr. Amaya did not notify McCall of his assessment
of carpal tunnel syndrome. McCall continued to work until 2007, one year
following her fall at work. She sought no medical treatment for the gradual
development of pain in her arms and hands, and Dr. David Rogers, who diagnosed
McCall's carpal tunnel syndrome on November 29, 2007, was the first doctor who notified
her that she had carpal tunnel syndrome.

Even had McCall been
diagnosed with RTI in 1999, it was unclear at that time what notice, if any,
she would have been obligated to provide. In 1999, the South Carolina Code
contained no reference to RTI. Further, the common law had not yet determined
whether RTI was an injury by accident, which required notice pursuant to
section 42-15-20, or an occupational disease, which required notice within
ninety days of disability. SeePee v. AVM, Inc., 352 S.C. 167,
173, 573 S.E.2d 785, 788 (2002) ("Whether a repetitive trauma injury is
compensable either as an injury by accident or an occupational disease has not
been squarely addressed by this Court."). Notably, in 2005, this court
applied section 42-15-20 to a claimant's RTI and held "[n]otice begins to
run when the employee becomes disabled and could discover with
reasonable diligence his condition is compensable." Bass v.
Isochem, 365 S.C. 454, 481, 617 S.E.2d 369, 383 (Ct. App. 2005) (emphases
added).

Moreover, McCall's
admission—"she knew the job caused the problems"—was insufficient to
support the Commission's finding that she had reason to believe she had a
"compensable" condition prior to either her carpal tunnel syndrome diagnosis
on November 29, 2007 or her inability to work resulting from carpal tunnel
syndrome. In 2007, the legislature added subsection (C) to section 42-15-20,
effective July 1, 2007, which states, in pertinent part: "In the case of repetitive trauma, notice must be given by
the employee within ninety days of the date the employee discovered, or could
have discovered by exercising reasonable diligence, that his condition is
compensable . . . ." S.C. Code Ann. § 42-15-20(C) (Supp. 2011). This
court interpreted subsection (C) in King v. International Knife and
Saw-Florence: "[A] work-related repetitive trauma injury does not
become compensable, and the ninety-day reporting clock does not start, until
the injured employee discovers or should discover he qualifies to receive
benefits for medical care, treatment, or disability due to his condition."
395 S.C. 437, 444, 718 S.E.2d 227, 231 (Ct. App. 2011). The court found a
distinction existed between work-related aches and pains and a compensable
condition:

[A]
mere work-related ache does not constitute a compensable condition, regardless
of whether the employee later develops an injury. The Act requires an injured
employee to be diligent, not prescient. King's condition was not compensable
until it either required medical care or interfered with his ability to perform
his job, whichever occurred first.

Id. at 445,
718 S.E.2d at 231.

Therefore, McCall's obligation
to provide notice under section 42-15-20(C) was triggered only after her RTI required medical care or interfered with her ability
to perform her job—neither of which occurred prior to her diagnosis on November 29, 2007. Because McCall gave notice of her RTI on January 30, 2008—well within the ninety-day period
required under section 42-15-20(C)—we reverse
the Commission's conclusion that McCall failed to provide timely notice of her
RTI and remand for a determination of compensability pursuant to section
42-1-172.